title: Intoxication after ingestion of toad soup: report of two cases.
abstract: Intoxication after ingestion of toad is rare, but it results in severe morbidity and high mortality. Recently, we encountered 2 children, one a 15-month-old boy and one a 20-month-old girl, who were fed cooked toad (Bufo melanostictus) soup. The boy expired of ventricular fibrillation. The girl presented with varying degrees of A-V block with congestive heart failure which, however, was completely resolved after intensive treatment. In our experience, early identification and intervention are necessary to decrease absorption of toxins; to correct hyperkalemia. Dysrhythmia should be treated with atropine, antiarrhythmic agents, and a temporary pacemaker, in order to avoid lethal results.
authors.affiliation: Department of Pediatrics, Taichung Veterans General Hospital, Taiwan, R.O.C.
authors.forename: S L
authors.initials: SL
authors.lastname: Jan
authors.forename: F L
authors.initials: FL
authors.lastname: Chen
authors.forename: D Z
authors.initials: DZ
authors.lastname: Hung
authors.forename: C S
authors.initials: CS
authors.lastname: Chi
mesh_terms: D000818:Animals; D000832:Animals, Poisonous; D002018:Bufanolides / Q000506:poisoning*; D002025:Bufonidae; D005260:Female; D005517:Foodborne Diseases; D006801:Humans; D007223:Infant; D008297:Male
chemical_list: D002018:Bufanolides; C004600:bufotalin